PCGA Manual Annexes

ANNEXES Annex I. PCG-PCGA Chain of Leadership and Management Annex II. PCGA Application Form Annex III. Applicant’s Personal History Statement Form Annex IV. Indoctrination Certificate Annex V. Director Auxiliary Squadron Endorsement Memorandum Annex VI. PCGA Organizational Structure Annex VII. PCGA National Auxiliary Main Office Staff Organization Annex VIII. Auxiliary District Organizational Structure Annex IX. Auxiliary District Staff Organization Annex X. Auxiliary Squadron Organizational Structure Annex XI. Auxiliary Squadron Staff Organization Annex XII. Auxiliary Division Staff Organization Annex XIII. PCGA Identification Card/ Application Form

ANNEX I. PCG-PCGA CHAIN OF LEADERSHIP AND MANAGEMENT

ANNEX II. PCGA APPLICATION FORM

PHILIPPINE COAST GUARD AUXILIARY ________ AUXILIARY SQUADRON

MEMBERSHIP APPLICATION ( ) New Enrollment ( ) Re-enrollment ( ) Transfer of Squadron

LAST NAME FIRST NAME MIDDLE NAME SUFFIX GENDER ( ) Male ( ) Female

OTHER NAMES USED:

HOME ADDRESS

MARITAL STATUS ( ) Single ( ) Married ( ) Separated ( ) Widow/Widower

NAME OF SPOUSE NO. OF CHILDREN

HEIGHT

WEIGHT COLOR OF EYES COLOR OF HAIR

SCARS OR MARKS AND OTHER DISTINGUISHING FEATURES:

SSS/GSIS NO. DATE OF BIRTH PLACE OF BIRTH

CITIZENSHIP

RELIGION BLOOD TYPE

TEL. NO. (HOME)

TEL. NO. (BUSINESS) MOBILE PHONE

EMAIL 1 EMAIL 2

FAX NO.

ACR NO. (IF ALIEN) PASSPORT NO./EXPIRY DATE

TYPE OF VISA ISSUED TIN NO.

SECTION II – EDUCATIONAL BACKGROUND – College/Post-Grad/Special Studies NAME OF SCHOOL DEGREES OBTAINED INCLUSIVE DATES YEAR GRADUATED

(Attached photocopies of either the transcript of records, diploma or PRC certificate)

SECTION III – EMPLOYMENT/OCCUPATIONAL BACKGROUND

( ) EMPLOYED ( ) OWN BUSINESS

COMPANY COMPANY COMPANY COMPANY

(Attached latest employment’s certification, SEC Registration, Art. Of Incorporation or DTI Registration)

FOR PAST OR CURRENTLY IN GOVERNMENT POSITION – Please state highest Appointment/Elected Office

Position/Period Assumed:

Nature of Office:

(Attached certification from the Office concerned)

SECTION IV – ADDITIONAL DATA

PROFESSIONAL LICENCES:

SPECIAL TRAININGS:

SPECIAL INTERESTS/SKILLS:

(Attached photocopies of license/s or certificate/s)

MA – 2009 Page 2 of 4 MEMBERSHIP APPLICATION

SECTION V – EMERGENCY CONTACT INFORMATION

LAST NAME

FIRST NAME MI SUFFIX RELATIONSHIP

ADDRESS

TEL NO. (HOME) TEL NO. (BUSINESS) MOBILE PHONE NO.

SECTION VI – READINESS INPUT

A. FUNCTIONS YOU WANTED TO BE INVOLVED IN: (Please check choice/s)

( ) MARSAR – Maritime Search and Rescue ( ) MAREP – Marine Environmental Protection ( ) MARSAF – Maritime Safety ( ) COMREL – Community Relations (Civic action activities i.e. Medical/Dental Missions; Youth development)

B. ANSWER B1 AND CHECK APPROPRIATE ANSWERS FOR B2 TO B4: 1. What is your purpose in joining the PCGA? (in at least 50 words you may use separate sheet) 2. Are you willing to be trained? ( ) Yes ( ) No 3. Are you willing to travel outside of your home area? ( ) Yes ( ) No 4. Are you available on call 24 hours? ( ) Yes ( ) No If No, need ______days/advance notice

SECTION VII – ASSETS/RESOURCES AVAILABLE TO PCGA PROJECTS (This data will be used for reference as available resources in times of disaster/emergency only and does not mean a full turn-over to PCG/PCGA of said items/equipment)

ITEMS/CLASSIFICATION QUANTITY DESCRIPTION

WATERCRAFT (Boat) Name ________________________ Type____________________ Speed________________________Power___________________ Range_____________Full Capacity (Ltrs/Gals)________________

AIRCRAFT

LAND TRANSPORTATION

AMBULANCE/FIRETRUCKS

OTHER EQUIPMENTS (Please specify) i.e. Communications: Telephone, 2-way radios, generators, etc.

MANPOWER (Please specify-Doctors/Dentists/Nurses/Support Staff, etc)

SECTION VIII – ORGANIZATIONS

LIST OF ORGANIZATIONS OR SOCIAL GROUPS WHICH YOU HAVE BEEN A MEMBER OF:

ORGANIZATION PLACE DATE OF MEMBERSHIP POSITION HELD

SECTION IX – REQUIRED CLEARANCES and ATTACHMENTS

a. NBI CLEARANCE a. NBI CLEARANCE b. POLICE CLEARANCE b. POLICE CLEARANCE

c. BARANGAY CLEARANCE c. BARANGAY CLEARANCE

d. ORIENTATION SEMINAR CERTIFICATE (copy) d. ORIENTATION SEMINAR CERTIFICATE (copy) (All of the listed Items must be included with the application package)

MA – 2009 Page 3 of 4 MEMBERSHIP APPLICATION

SECTION X – MISCELLANEOUS

COPY THE FOLLOWING PARAGRAPH IN YOUR OWN HANDWRITING. “As Luis F. Repazo of 105th Xavier Ave., guzzled his way through three bottles of brandy, Josephine Z. Quinsing, a partner in the law firm of San Diego and Ballesteros, located at 2879 Valley Forge St., Quezon City, turned to Richard Ting Sr., a Chinese food expert from O.W. Kwantung Company Ltd., 346 Hadji Jairula Hussein Blvd., and said, “I can’t for my Government but I’m quite sure your country and mine better get together for closer understanding.”

SECTION XI – APPLICANT STATEMENT AND SIGNATURE

I have ( ) have not ( ) been convicted of a violation of any laws of the Republic of the Philippines, classified as a major misdemeanor or a felony, (If convicted of a major misdemeanor or felony, state specifics, including date, city & state offense/s occurred, disposition and comments and attach to this application.) I affirm under the penalties of perjury as to the truth of all the statements contained in this application and authorize verification for the official use of the Philippine Coast Guard or Philippine Coast Guard Auxiliary. I understand that any false statement contained herein is grounds for my disenrollment from the Philippine Coast Guard Auxiliary. I PLEDGE TO SUPPORT THE PHILIPPINE COAST GUARD AUXILIARY AND ITS PURPOSES AND TO ABIDE BY THE GOVERNING POLICIES ESTABLISHED BY THE COMMANDANT OF THE PHILIPPINE COAST GUARD.

NAME AND SIGNATURE OF SPONSOR

DATE NAME AND SIGNATURE OF APPLICANT

THUMBMARKS

SECTION XII – SQUADRON DIRECTOR ENDORSEMENT

APPLICANT IS: ( ) ACCEPTED ( ) NOT ACCEPTED

SQUADRON DIRECTOR SIGNATURE DATE

Note: If applicant is not accepted, explain in detail below

LEFT RIGHT

Please paste here

2 x 2 colored photo

with white background

MA – 2009 Page 4 of 4 INSTRUCTIONS

MEMBERSHIP APPLICATION

1. GENERAL – Everyone requesting membership in the Philippine Coast Guard Auxiliary must complete this form. a. Read all instructions carefully b. This form is used to supply new member personal information for entry into the Auxiliary database. c. USE BLUE OR BLACK INK FOR COMPLETING THE WRITTEN PORTION OF ALL OF THESE FORMS.

2. SECTION I – PERSONAL DATA OF APPLICANT – To be completed by applicant. a. LAST NAME, FIRST NAME, MIDDLE NAME and SUFFIX – Enter full legal name b. OTHER NAMES USED – List all other names you were known by or are now using. If you are female, and are or have been

married, include maiden name, and other married names if married more than once. Identify maiden name with “NEE”. c. GENDER – Check one of the genders. d. HOME ADDRESS – Enter current home address. e. MARITAL STATUS – Check one of the marital status. f. NAME OF SPOUSE – Use spouse’s given name – no nicknames g. NO. OF CHILDREN – Indicate number h. HEIGHT, WEIGHT, COLOR OF EYES, COLOR OF HAIR – Enter appropriate answers i. SCARS OR MARKS AND OTHER DISTINGUISHING FEATURES – Enter description j. SSS/GSIS NO. – Enter SSS or GSIS No. as the case maybe k. DATE OF BIRTH, PLACE OF BIRTH – Enter DOB using MM/DD/YY numeric format, 01/18/45. Membership eligibility begins

with 18 years of age. l. CITIZENSHIP, RELIGION, BLOOD TYPE – Enter appropriate answers. m. TEL. NOS. (HOME), (BUSINESS) & MOBILE PHONE – Enter phone numbers. n. EMAIL 1, EMAIL 2, & FAX NO. – Enter email addresses and fax no. o. ACR NO./PASSPORT NO./EXPIRY DATE, TYPE OF VISA & TIN NO. – Enter corresponding nos. Attach photo copies of ACR

AND PASSPORT. 3. SECTION II – EDUCATIONAL BACKGROUND – College/Post-Grad/Special Studies – To be completed by applicant

a. Enter appropriate answers b. Attach photocopies of either the transcript of records, diploma or PRC certificate.

4. SECTION III – EMPLOYMENT/OCCUPATIONAL BACKGROUND – To be completed by applicant a. Enter appropriate answers b. Attach latest employment’s certification, SEC Registration, Articles of Incorporation or DTI Registration. If Government

employee, attach certification from the office concerned. 5. SECTION IV – ADDITIONAL DATA – To be completed by applicant

a. Enter appropriate answers. b. Attach photo copies of licence/s or certificate/s.

6. SECTION V – EMERGENCY CONTACT INFORMATION – To be completed by applicant a. Enter name, emergency contact’s relationship, address and phone numbers.

7. SECTION VI – READINESS INPUT – to be completed by applicant after the orientation seminar. a. Answer B1 in at least 50 words. You may use a separate sheet. b. Check appropriate answers for B2 to B4.

8. SECTION VII – ASSETS/RESOURCES AVAILABLE TO PCGA PROJECTS – To be completed by applicant after the orientation seminar. a. Enter appropriate answers.

9. SECTION VIII – ORGANIZATIONS – To be completed by applicants a. Enter appropriate answers.

10. SECTION IX – REQUIRED CLEARANCES AND ATTACHMENTS - To be attached to application a. NBI Clearance (Original and 3 copies) b. Police Clearance (Original and 3 copies) c. Barangay Clearance (Original and 3 copies) d. Orientation Seminar Certificate (copy) e. Endorsement letter from the Squadron Director.

11. SECTION X – MISCELLANEOUS – To be completed by applicant a. To be copied by the applicant in his own handwriting.

12. SECTION XI – APPLICANTS STATEMENT AND SIGNATURE – To be completed by the applicant and sponsor. a. Felony/misdemeanor convictions – check appropriate answer to conviction statement. Review application and data to

ensure accuracy, then sign and indicate date using either blue or black ink. The sponsor will co-sign the statement. The applicant will affix his thumb marks and attach his 2 x 2 picture.

13. SECTION XII – SQUADRON DIRECTOR ENDORSEMENT – To be completed by the Squadron Director.

a. The Squadron Director check appropriate decision then sign the application form and indicate the date.

ANNEX III. APPLICANT’S PERSONAL HISTORY STATEMENT FORM

PERSONAL HISTORY STATEMENT

I N S T R U C T I O N S

1. Answer all the questions completely; if the question is not applicable, write “NA.” Write

“UNKNOWN” only if you do not know the answer and cannot obtain the answer from personal

records. Use the blanks pages at the back of this form for extra details on any question for which you

do not have sufficient space.

2. Type, print or write carefully, illegible or incomplete forms will not receive consideration.

W A R N I N G

1. The correctness of all statements of entries made herein will be investigated.

2. Any deliberate omission or distortion of material facts may give sufficient cause for denial

of clearance.

3. The statement made herein is classified “CONFIDENTIAL.” Revelation or use for

purposes other than that authorized is prohibited by pertinent provisions of AFPRG 200-052.

________________________________________________________________________

I. PERSONAL DETAILS

A. Name: ___________ ______________________________________________

(Last) (First) (Middle)

B. Rank: ____________ PCGSN: ______________ Br/Svc: _________________

C. Present Job / Assignment: __________________________________________________

D. Business or Duty Address: ________________________________________________

E. Home Address (Include St. & Nr): ___________________________________________

F. Birth Date: _____________________ Place of Birth: ________________________

G. Change in Name (If by Court Action give details): ______________________

H. Nicknames:_____________________ Nationality: _____________

I. TIN: _______ ___________ National Reg. Card: _________ __________

J. Religion: ____________________ Blood Type: ___________________

II. PERSONAL CHARACTERISTICS

A. Description: Sex: _______ Age: ____ Height: ___ (cms) Weight _ (kgs)

Build (heavy, Medium, Light): _____ Complexion (Dark, Fair, Light): _____

Color of Eyes: __________ Color of Hair: ____ ______

Scars or marks and other distinguishing features: __ ______

B. Physical Condition/Present State of health (Excellent, Good, Poor) __ __

Physical or Mental Defects: ___ ____ Recent Serious Illness: _ _

III. MARITAL HISTORY

A. Marital Status: _______________________________________________________

(Single, Married, Separated or Widow)

B. Name of Spouse: _____________________________________________________

(Full Name)

Date and Place of Marriage: ____________________________________________

Occupation and Place of Employment: ____________________________________

C. Children:

Name Date of Birth Citizenship

IV. FAMILY HISTORY AND INFORMATION

A. Father’s Name: _____________________________________________________

(Full name)

Date and Place of Birth: ______________________________________________

Address: __________________________________________________________

Occupation and Place of Employment: __________________________________

Citizenship: ____________ if naturalized, give date and place where naturalized

B. Mother’s Name: _ ___________________________________________________

(Full Name)

Date and Place of Birth: ______________________________________________

Address: __________________________________________________________

Occupation and Place of Employment: __________________________________

Citizenship: _____________ if naturalized, give date and place where naturalized

C. Brothers and Sisters

NAME AGE ADDRESS OCCUPATION

D. Step-parent or Guardian: _________________________________________________

Address ______________________________________________________________

Occupation and Place of Employment ______________________________________

Citizenship __________________ if naturalized, give date and place where naturalized

E. Father-in-Law _________________________________________________________

Date and Place of Birth __________________________________________________

Address ______________________________________________________________

(Street) (Bo/Brgy) (Town/City)

_________________________________ Tel Nr ______________________________

(Province)

Occupation and Place of Employment ______________________________________

Citizenship__________________ If naturalized, give date and place where naturalized

F. Mother-in-Law ________________________________________________________

Date and Place of Birth __________________________________________________

Address ______________________________________________________________

(Street) (Bo/Brgy) (Town/City)

_____________________________ Tel Nr __________________________________

(Province)

Occupation and Place of Employment _______________________________________

Citizenship __________________ if naturalized, give date and place where naturalized

V. EDUCATIONAL BACKGROUND

A. Elementary

School Location Date of

Attendance

Year Graduated

B. High School

School Location Date of

Attendance

Year Graduated

C. College

School Course Location Date of

Attendance

Year

Graduated

D. Post Graduate


Attendance

Year

Graduated

E. Other Schools Attended and Date of Attendance


Attendance

Year

Graduated

F. Civil Service Eligibility, if any, and others similar qualifications__________________

________________________________________________________________________

VI. MILITARY HISTORY

A. Date Enlisted in the AFP _________________________________________________

B. Date of Commission__________________Source of Commission________________

C. Important Unit Assignment since Enlistment/CAD: ____________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

D. Military Schools Attended

Name of Schools & Location Date of Attendance Nature of Training Rating

E. Decorations and Awards or Commendations Received

_________________________________________________________________________

_________________________________________________________________________

________________________________________________________________________

VII. PLACES OF RESIDENCE SINCE BIRTH

VIII. EMPLOYMENT

Inclusive

Dates

Type of Employment Name/Address of Employment Reason of

Leaving

Have you ever been dismissed or forced to resign from a position? Yes ________No ______

If yes, explain _______________________________________________________________

Inclusive Dates Places/Address

IX. FOREIGN COUNTRIES VISITED (In chronological order)

Date Country Visited Purpose of Visit

X. CREDIT REPUTATION

A. Are you entirely dependent on your salary? Yes ______ No ______ if no, state other

sources of income ______________________________________________________

B. Name and Address of Banks or other Credit/Institution with which your have accounts/loans:

_________________________________________________________

C. Have you filed a statement of your Assets and Liabilities with any government agency

Yes _____ No _____ If so, what, agency? ___________________________________

D. Have you filed your last income tax return? __________________________________

E. Three (3) credit references in the Philippines:

Name Address

XI. ARREST RECORD AND CONDUCT

A. Have you ever investigated / arrested, indicted or convicted for any violation of law?

______________? If so, state name of court, nature of offense and disposition of case.

____________________________________________________________________

B. Has any member of your family ever been investigated / arrested, indicated or convicted for

any violation of law? _____________ If so, state name of court, nature of the case and

disposition of case. _________________________________________

C. Have you, ever been charged in any Administrative Case? ______________________

D. Have you ever been arrested or detained pursuant to the provision of PD 1081 and its

implementation order (GO, PO, LOI)? _________If so, state the nature of the case and the

place of your detention _______________________________________________

E. Do you use intoxicating liquor or narcotics? _____________ If so, what extent?

_____________________________________________________________________

XII. GENERAL REPUTATION A. Give five (5) character references (not relatives) known three years or longer, who are not your

relatives:

Name Business Address/Residence

(Include Street & Number)

B. List down three (3) neighbors at your present residence:

Name

Business Address/Residence

(Include Street & Number)

XIII. ORGANIZATION

List of organization or social groups which you have been a member:

Organization Address Date of Membership & Position

held

XIV. MISCELLANEOUS

A. Hobbies, sports and past times

________________________________________________________________________

____________________________________________________________

B. Language and Dialect (indicate ability as fluent, fair or poor):

Language or Dialect Speak Read Write

C. Are you willing to undergo periodic lie detection test? ____________________

D. Copy exactly the following paragraph in your own handwriting

As Luis E Rapazo III of 105th Xavier Ave guzzled his way trhough three bottles of

brandy, Josephine Z Quinsing, a partner in law firm of San Diego and Ballesteros located at

2879 Valley Forge St., Quezon City turned to Richard Ting Sr., a Chinese food expert from

O.W. Kwantung Company, Ltd., 346 Hadji Jairul Hussein Blvd., and said, “I can’t speak

for my Government but I’m quite sure your country and mine better get together for closer

understanding.”

___________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

______________________________________________

I certify that the foregoing answers are true and correct to the best of my knowledge and belief

and I agree that my misstatement or omission as to material facts will constitute ground for denial of

my application for clearance.

Signed at ________________________________ Date ____________________________

_____________________________________

(Signature of Applicant)

____________________________________ ____________________________________

(Witness) (Witness)

THUMBMARKS

LEFT RIGHT

Subscribed and sworn to before me this _____day of _______________20 _________

Philippines, affiant exhibited to me his /her Community Certificate Nr ___________________

Issued on _____________________at ____________________________________________

_______________________________

(Administrative Officer/Notary Public)

________________________________

(Rank and Designation)

________________________________

(TIN)

2x2 picture

Department of Transportation and Communications Philippine Coast Guard

Coast Guard District Southwestern Mindanao PHILIPPINE COAST GUARD AUXILIARY DISTRICT SOUTHWESTERN MINDANAO

308TH

PCGA SQUADRON Port Area, Pagadian City

Certificate of Indoctrination

This is to certify that

MS./mr. juan dela cruz

has undergone the required eight (8) hours Indoctrination and Orientation Seminar per requirements for

membership under the Philippine Coast Guard Auxiliary Manual, series 2012 at

________________________________ on _________________.

Given this ___th day of __________.

CAPT MAGITING VOLUNTER PCGA LT PEDRO DUGUMON PCG

Squadron Auxiliary Director, 308th

PCGA Squadron Station Commander, CGS Pagadian

Annex IV: INDOCTRINATION CERTIFICATE

“Annex V”: DIRECTOR AUXILIARY SQUADRON ENDORSEMENT MEMORANDUM

Philippine Coast Guard

PHILIPPINE COAST GUARD AUXILIARY COAST GUARD AUXILIARY DISTRICT _____________________

0000TH PCGA SQUADRON address

MEMORANDUM FOR : Director Auxiliary District _________________ Via : Station Commander, CGS _____________ From : Director Auxiliary Squadron 0000th PCGA Squadron Encl : Individual Application Form Date : ______________

1. The 0000th PCGA Squadron has recruited prospectIve PCGA members. After completion of the necessary documents, the required eight(8) hours orientation and indoctrination seminar has been conducted on ____________ and the participants have been issued Certificates of Indoctrination. 2. In this regard, the following-named recruits are respectfully endorsed for appointment into the Philippine Coast Guard Auxiliary (PCGA) service with honorary ranks as indicated hereunder:

To be rank

Mr./Ms. ____________________

Mr./Ms. ____________________

To be rank

Mr./Ms.____________________

Mr./Ms.____________________

3. Furthermore, request that the above-named applicants be endorsed for appointment as members of the unit as indicated: To be members of 000TH Squadron

LT ____________________ ENS ____________________

TO BE MEMBERS OF 0000.00 PCGA DIVISION LT __________________

ENS __________________

4. For your favorable consideration.

CAPT MAGITING VOLUNTEER PCGA Squadron Auxiliary Director, 0000th PCGA Squadron Noted by: LT SUPER MAN PCG Station Commander, CGS ___________

Annex VI: PCGA ORGANIZATIONAL STRUCTURE

AUXILIARY SUPPORT GROUPS

AUXILIARY DISTRICTS

NATIONAL DIRECTOR

DEPUTY NATIONAL DIRECTOR

FOR ADMINISTRATION


FOR OPERATIONS

Maritime Search

and Rescue

Group

Volunteer

Services Training

& Protocol Group

External Affairs

Group

Maritime

Community

Relations Group

Marine

Environmental

Protection Group

Maritime Safety

Group

CGADNM CGADBCL CGADSEM CGADNLZ CGADWV CGADSTL CGADPAL CGADSWM CGADCEV CGADNCR-CL

Annex VII: NATIONAL AUXILIARY MAIN OFFICE ORGANIZATION

PERSONAL STAFF AUXILIARY CENTRAL STAFF SPECIAL AND TECHNICAL STAFF

NATIONAL DIRECTOR


FOR OPERATIONS DEPUTY NATIONAL DIRECTOR

FOR ADMINISTRATION

CHIEF OF STAFF

GENERAL LEGAL COUNSEL

PUBLIC INFORMATION

OFFICER (CDR)

FLAG LIEUTENANT (LT)

FLAG SECRETARY (CDR)

ADMIN AND PERSONNEL

(1)

INTELLIGENCE (2)

MARINE ENVIRONMENT PROTECTION (8)

MARITIME SAFETY (7)

VOLUNTEER SERVICES

TRAINING & PROTOCOL GROUP (6)

PLANS AND PROGRAMS AND

EXTERNAL AFFAIRS (5)

FINANCE AND LOGISTICS

(4)

OPERATIONS (3)

INTERNAL AUDITOR

AUXILIARY ADJUTANT

MEDICAL STAFF

DENTAL STAFF

LEGAL AFFAIRS

ECUMENICAL STAFF

Annex VIII: AUXILIARY DISTRICT ORGANIZATIONAL STRUCTURE

AUXILIARY SQUADRONS

AUXILIARY DIVISIONS

DEPUTY DIRECTOR AUXILIARY DISTRICT

FOR OPERATIONS

105th

Auxiliary Squadron


FOR ADMINISTRATION

104th Auxiliary Squadron

103rd Auxiliary Squadron

102nd Auxiliary Squadron

101st Auxiliary Squadron

DIRECTOR AUXILIARY DISTRICT

Auxiliary Division

Auxiliary Division

Auxiliary Division

Auxiliary Division

Auxiliary Division

Annex IX: AUXILIARY DISTRICT STAFF ORGANIZATION

DIRECTOR

AUXILIARY DISTRICT


FOR OPERATIONS


FOR ADMINISTRATION

AUXILIARY DISTRICT CHIEF OF STAFF

AUXILIARY DISTRICT PUBLIC INFORMATION

OFFICER

AUXILIARY DISTRICT ADJUTANT

AUXILIARY DISTRICT LEGAL AFFAIRS

MEDICAL/DENTAL STAFF

ADMIN AND PERSONNEL

(1)

INTELLIGENCE (2)

OPERATIONS (3)

MARINE ENVIRONMENT PROTECTION (8)

MARITIME SAFETY (7)

VOLUNTEER SERVICES

TRAINING & PROTOCOL (6)

PLANS AND PROGRAMS AND


FINANCE AND LOGISTICS (4)

Annex X: AUXILIARY SQUADRON ORGANIZATIONAL STRUCTURE

DIRECTOR AUXILIARY SQUADRON

DEPUTY DIRECTOR AUXILIARY SQUADRON

FOR OPERATIONS

DEPUTY DIRECTOR AUXILIARY SQUADRON FOR ADMINISTRATION

AUXILIARY DIVISION

AUXILIARY DIVISION

Annex XI: AUXILIARY SQUADRON STAFF ORGANIZATION

DIRECTOR AUXILIARY SQUADRON

DEPUTY DIRECTOR AUXILIARY SQUADRON

FOR OPERATIONS

DEPUTY DIRECTOR AUXILIARY SQUADRON FOR ADMINISTRATION

CHIEF OF STAFF

ADMIN AND PERSONNEL

(1)

INTELLIGENCE (2)

OPERATIONS (3)


PLANS AND PROGRAMS &


VOLUNTEER SERVICES


MARITIME SAFETY

(7)

MARINE ENVIRONMENTAL

PROTECTION (8)

Annex XII: AUXILIARY DIVISION STAFF ORGANIZATION

DIRECTOR

AUXILIARY DIVISION

DEPUTY DIRECTOR AUXILIARY DIVISION

CHIEF OF STAFF

ADMIN AND PERSONNEL

(1)

INTELLIGENCE (2)

OPERATIONS (3)


PLANS AND PROGRAMS &


VOLUNTEER SERVICES


MARITIME SAFETY

(7)

MARINE ENVIRONMENTAL

PROTECTION (8)

APPLICABLE FOR MARRIED FEMALE

ANNEX XIII. PCGA IDENTIFICATION CARD APPLICATION FORM

PHILIPPINE COAST GUARD AUXILIARY

ID APPLICATION FORM

ID No.: ___________________ Auxiliary District: ____________________ Squadron No.: _________ FIRST NAME: MIDDLE NAME: LAST NAME:

MAIDEN’S MIDDLE NAME: MAIDEN’S LAST NAME:

RIGHT THUMBMARK SPECIMEN SIGNATURE

ENDORSED BY:

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

______________________________ ______________________________ _________________________________ SQUADRON DIRECTOR DISTRICT AUXILIARY DIRECTOR PCGA NATIONAL DIRECTOR NOTED BY: APPROVED BY:

CDR ERWIN O BALAGAS PCG EDMUND C TAN DC of CGS for CRS, CG-7 VADM PCG

RANK: AUTHORITY:

DESIGNATION:

HOME ADDRESS:

MARITAL STATUS: SINGLE WIDOWED DIVORCED

(PLS. CHECK ONE) MARRIED SEPARATED

WEIGHT[Kgs]: EYES:

HEIGHT[Cms]: HAIR:

BLOOD TYPE: SEX:

RELIGION:

DATE OF BIRTH (DD-MMM-YYYY) : - -

IDENTIFYING DATA/ MARK:

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY AND RELATIONSHIP:

ADDRESS OF PERSON TO BE NOTIFIED:

CONTACT NO.:

ATTACHMENTS

1. Appointment/Promotion Order/Affidavit if lost/damage.

2. Endorsement letter from Squadron, District and

National Commander.

*For ID renewal/replacement, old PCGA ID should be

surrendered.

STATEMENT OF CONSENT

I declare that I am fully aware that the above

data shall be used for securing my PCGA Identification

membership card. I trust that the above data shall

remain confidential hence I give my consent that the

same data be secured and accessed for subsequent

validation, verification, and for other purposes. I further

affirm that all statements/data, which appear in this

registration form and made by me are true and complete

to the best of my knowledge and belief.

____________________________________

SIGNATURE OVER PRINTED NAME

____________________________________

DATE SIGNED

2 X 2 PICTURE

IN MARLEN BLUE

BACKGROUND

Documents

PCGA Manual Annexes